摘要
目的探讨影响腹部外科手术切口感染的高危因素,为预防切口感染提供科学依据。方法回顾性调查分析2010年2月-2011年8月62例腹部外科切口感染患者的临床资料,对可能影响切口感染的高危因素进行单因素和多因素logistic回归分析。结果单因素分析显示,患者的性别(χ2=5.4,男4.2%,女5.3%)、年龄(χ2=13.8,≥50岁11.1%,<50岁4.5%)、肥胖(χ2=6.7,是9.5%,否4.8%)、糖尿病(χ2=24.1,是18.1%,否5.9%)、切口分类(χ2=15.3,Ⅰ类4.3%,Ⅱ、Ⅲ类7.7%)、手术性质(χ2=12.2,急诊5.9%,择期2.4%)、手术时间(χ2=14.7,≥90min 8.1%,<90min 4.0%)、术前抗菌药物预防(χ2=27.4%,有2.9%,无10.7%)与术后切口感染有关(P<0.05);多因素logistic回归分析显示,患者的年龄(χ2=4.13,OR=2.84)、切口分类(χ2=8.26,OR=3.49)、糖尿病(χ2=9.49,OR=5.42)、手术时间(χ2=15.48,OR=3.27)、术前抗菌药物(χ2=15.48,OR=6.26)预防是与术后切口感染相关的高危因素(P<0.05)。结论在患者年龄不可控的情况下,应尽量选用Ⅰ类切口手术、缩短手术时间、进行基础疾病治疗、术前给予抗菌药物预防以降低腹部外科手术切口感染发生率。
OBJECTIVE To investigate the risk factors that affected abdominal surgical incision infections and provide scientific basis for the prevention of incision infections. METHODS The clinical data of 62 patients with abdominal surgical incision infections from Feb 2010 to Aug 2011 were analyzed retrospectively. The univariate and multivariate logistic regression analysis was performed to analyze the risk factors that may affect wound infections. RESULTS The univariate analysis showed that the patient＇ s gender （ χ2 = 5. 4, male 4.2%, female 5.3%）, age （χ2=13.8,≥50 years 11. 1% ,〈50 years 4.5%）, obesity （χ2 =6.7,yes 9.5%,no 4.8%）, diabetes（χ2= 24.1, yes 18.1 %,no 5% 90%）, incision classification （χ2 = 15.3, Ⅰ 4.3 %,Ⅱ or Ⅲ7.7 %）, operation nature （χ2=12.2,emergency treatment 5.9%, elective 2.4%）, operation duration （χ2=14.7,≥90 min 8.1%,〈90 min 4.0 % ）, preoperative antibiotic prophylaxis （χ2= 27.4 %, yes 2.9 %, no 10.7 % ） were related to the postoperative incision infections （P〈0.05）. logistic regression analysis showed that the patient＇s age （χ2 = 4.13, OR = 2.84）, incision classification （χ2 = 8.26, OR= 3.49）, diabetes （χ2=9.49, OR = 5.42）, operation duration （χ2 = 15.48, OR=3.27）, preoperative antibiotics prophylaxis （χ2 = 15.48, χ2 = 6.26） were the high risk factors that affected the postoperative infections （P〈0.05）. CONCLUSION With the uncontrollable factor of the age, it is necessary to select the ＂type Ⅰ incision surgery to shorten the operation duration, treat the underlying diseases, and use antibiotics for prevention before the surgery so as to reduce the incidence of abdominal surgical incision infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第18期4008-4010,共3页
Chinese Journal of Nosocomiology
关键词
腹部外科
切口感染
高危因素
Abdominal surgery
Incision infection
Risk factor
